Abstract
PURPOSE OF REVIEW: Facial paralysis often has a significant emotional impact on patients. Along with the myriad of new surgical techniques in managing facial paralysis comes the challenge of selecting the most effective procedure for the patient. This review delineates common surgical techniques and reviews state-of-the-art techniques. RECENT FINDINGS: The options for dynamic reanimation of the paralyzed face must be examined in the context of several patient factors, including age, overall health, and patient desires. The best functional results are obtained with direct facial nerve anastomosis and interpositional nerve grafts. In long-standing facial paralysis, temporalis muscle transfer gives a dependable and quick result. Microvascular free tissue transfer is a reliable technique with reanimation potential whose results continue to improve as microsurgical expertise increases. Postoperative results can be improved with ancillary soft tissue procedures, as well as botulinum toxin. SUMMARY: The paper provides an overview of recent advances in facial reanimation, including preoperative assessment, surgical reconstruction options, and postoperative management.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 242-248 |
| Number of pages | 7 |
| Journal | Current Opinion in Otolaryngology and Head and Neck Surgery |
| Volume | 14 |
| Issue number | 4 |
| DOIs | |
| State | Published - Aug 2006 |
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Keywords
- Facial nerve palsy
- Facial paralysis
- Reanimation
- Reconstruction
ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery
Cite this
Advances in facial reanimation. / Tate, James R.; Tollefson, Travis Tate.
In: Current Opinion in Otolaryngology and Head and Neck Surgery, Vol. 14, No. 4, 08.2006, p. 242-248.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Advances in facial reanimation
AU - Tate, James R.
AU - Tollefson, Travis Tate
PY - 2006/8
Y1 - 2006/8
N2 - PURPOSE OF REVIEW: Facial paralysis often has a significant emotional impact on patients. Along with the myriad of new surgical techniques in managing facial paralysis comes the challenge of selecting the most effective procedure for the patient. This review delineates common surgical techniques and reviews state-of-the-art techniques. RECENT FINDINGS: The options for dynamic reanimation of the paralyzed face must be examined in the context of several patient factors, including age, overall health, and patient desires. The best functional results are obtained with direct facial nerve anastomosis and interpositional nerve grafts. In long-standing facial paralysis, temporalis muscle transfer gives a dependable and quick result. Microvascular free tissue transfer is a reliable technique with reanimation potential whose results continue to improve as microsurgical expertise increases. Postoperative results can be improved with ancillary soft tissue procedures, as well as botulinum toxin. SUMMARY: The paper provides an overview of recent advances in facial reanimation, including preoperative assessment, surgical reconstruction options, and postoperative management.
AB - PURPOSE OF REVIEW: Facial paralysis often has a significant emotional impact on patients. Along with the myriad of new surgical techniques in managing facial paralysis comes the challenge of selecting the most effective procedure for the patient. This review delineates common surgical techniques and reviews state-of-the-art techniques. RECENT FINDINGS: The options for dynamic reanimation of the paralyzed face must be examined in the context of several patient factors, including age, overall health, and patient desires. The best functional results are obtained with direct facial nerve anastomosis and interpositional nerve grafts. In long-standing facial paralysis, temporalis muscle transfer gives a dependable and quick result. Microvascular free tissue transfer is a reliable technique with reanimation potential whose results continue to improve as microsurgical expertise increases. Postoperative results can be improved with ancillary soft tissue procedures, as well as botulinum toxin. SUMMARY: The paper provides an overview of recent advances in facial reanimation, including preoperative assessment, surgical reconstruction options, and postoperative management.
KW - Facial nerve palsy
KW - Facial paralysis
KW - Reanimation
KW - Reconstruction
UR - http://www.scopus.com/inward/record.url?scp=33746567895&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33746567895&partnerID=8YFLogxK
U2 - 10.1097/01.moo.0000233594.84175.a0
DO - 10.1097/01.moo.0000233594.84175.a0
M3 - Article
C2 - 16832180
AN - SCOPUS:33746567895
VL - 14
SP - 242
EP - 248
JO - Current Opinion in Otolaryngology and Head and Neck Surgery
JF - Current Opinion in Otolaryngology and Head and Neck Surgery
SN - 1068-9508
IS - 4
ER -